Skip to main content
Top
Published in: BMC Pediatrics 1/2021

Open Access 01-12-2021 | Pediatric Obesity | Research article

Waitlist management in a pediatric weight management clinic: implementing an orientation session

Authors: Webb A. Smith, Emily Gray, Tamekia L. Jones, Joan C. Han, E. Thomaseo Burton

Published in: BMC Pediatrics | Issue 1/2021

Login to get access

Abstract

Background

This study evaluates implementation of an orientation session to address a waitlist of more than 2000 referrals to a pediatric weight management clinic in the Mid-South United States.

Methods

An hour-long group-based orientation to the pediatric weight management clinic was implemented to provide information about the structure and expectations of the clinic as well as education on healthy lifestyle recommendations. Families were contacted from the waitlist by telephone and invited to attend an orientation session prior to scheduling a clinic appointment.

Results

Of 2251 patients contacted from the waitlist, 768 scheduled an orientation session, of which 264 (34 %) attended. Of the 264 orientation participants, 246 (93 %) scheduled a clinic appointment. Of those, 193 (79 %) completed a clinic visit. Waitlist times decreased from 297.8 ± 219.4 days prior to implementation of orientation sessions to 104.1 ± 219.4 days after.

Conclusions

Orientation has been an effective and efficient way to triage patient referrals while maximizing attendance in limited clinic slots for patients and families demonstrating interest and motivation. Elements of this approach are likely generalizable to other pediatric clinical settings that must strategically manage a large volume of patient referrals.
Literature
6.
go back to reference Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, Epling JW, Kemper AR, Krist AH, Kurth AE, Landefeld CS. Screening for obesity in children and adolescents: US Preventive Services Task Force recommendation statement. J Am Med Assoc. 2017;317:2417–26. doi:https://doi.org/10.1001/jama.2017.6803.CrossRef Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW, Doubeni CA, Epling JW, Kemper AR, Krist AH, Kurth AE, Landefeld CS. Screening for obesity in children and adolescents: US Preventive Services Task Force recommendation statement. J Am Med Assoc. 2017;317:2417–26. doi:https://​doi.​org/​10.​1001/​jama.​2017.​6803.CrossRef
18.
go back to reference Perez AJ, Yaskina M, Maximova K, Kebbe M, Peng C, Patil T, Nielsen C, Holt N, Ho J, Luca P, LaFrance R, Godziuk K, Connors A, Bennett T, Brunet-wood K, Baron T, Ball GDC. Predicting enrollment in multidisciplinary clinical care for pediatric weight management. Journal of Pediatrics. 2018;202:129–35. https://doi.org/10.1016/j.jpeds.2018.06.038.CrossRef Perez AJ, Yaskina M, Maximova K, Kebbe M, Peng C, Patil T, Nielsen C, Holt N, Ho J, Luca P, LaFrance R, Godziuk K, Connors A, Bennett T, Brunet-wood K, Baron T, Ball GDC. Predicting enrollment in multidisciplinary clinical care for pediatric weight management. Journal of Pediatrics. 2018;202:129–35. https://​doi.​org/​10.​1016/​j.​jpeds.​2018.​06.​038.CrossRef
19.
go back to reference Ball GDC, Spence ND, Browne NE, O’Connor K, Srikameswaran S, Zelichowska J, Ho J, Gokiert R, Mâsse LC, Carson V, Morrison KM, Kuk JL, Holt NL, Kebbe M, Gehring ND, Cesar M, Virtanen H, Geller J. The readiness and motivation interview for families (RMI-Family) managing pediatric obesity: Study protocol. BMC Health Services Research. 2017;17:261. doi:https://doi.org/10.1186/s12913-017-2201-8.CrossRefPubMedPubMedCentral Ball GDC, Spence ND, Browne NE, O’Connor K, Srikameswaran S, Zelichowska J, Ho J, Gokiert R, Mâsse LC, Carson V, Morrison KM, Kuk JL, Holt NL, Kebbe M, Gehring ND, Cesar M, Virtanen H, Geller J. The readiness and motivation interview for families (RMI-Family) managing pediatric obesity: Study protocol. BMC Health Services Research. 2017;17:261. doi:https://​doi.​org/​10.​1186/​s12913-017-2201-8.CrossRefPubMedPubMedCentral
24.
29.
go back to reference Perez A, Holt N, Gokiert R, Chanoine JP, Legault L, Morrison K, Sharma A, Ball GDC. Why don’t families initiate treatment? A qualitative multicentre study investigating parents’ reasons for declining paediatric weight management. Paediatrics & Child Health. 2015;20:179–84. https://doi.org/10.1093/pch/20.4.179.CrossRef Perez A, Holt N, Gokiert R, Chanoine JP, Legault L, Morrison K, Sharma A, Ball GDC. Why don’t families initiate treatment? A qualitative multicentre study investigating parents’ reasons for declining paediatric weight management. Paediatrics & Child Health. 2015;20:179–84. https://​doi.​org/​10.​1093/​pch/​20.​4.​179.CrossRef
32.
go back to reference Kelleher E, Davoren MP, Harrington JM, Shiely F, Perry IJ, McHugh SM. Barriers and facilitators to initial and continued attendance at community-based lifestyle programmes among families of overweight and obese children: A systematic review. Obesity Reviews. 2017;18:183–94. https://doi.org/10.1111/obr.12478.CrossRefPubMed Kelleher E, Davoren MP, Harrington JM, Shiely F, Perry IJ, McHugh SM. Barriers and facilitators to initial and continued attendance at community-based lifestyle programmes among families of overweight and obese children: A systematic review. Obesity Reviews. 2017;18:183–94. https://​doi.​org/​10.​1111/​obr.​12478.CrossRefPubMed
33.
go back to reference DeLuca S, Rosenblatt P, Wood H. Why poor people move (and where they go): Residential mobility, selection and stratification. Las Vegas: Meeting of the American Sociological Association; 2011. DeLuca S, Rosenblatt P, Wood H. Why poor people move (and where they go): Residential mobility, selection and stratification. Las Vegas: Meeting of the American Sociological Association; 2011.
Metadata
Title
Waitlist management in a pediatric weight management clinic: implementing an orientation session
Authors
Webb A. Smith
Emily Gray
Tamekia L. Jones
Joan C. Han
E. Thomaseo Burton
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2021
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-021-02868-w

Other articles of this Issue 1/2021

BMC Pediatrics 1/2021 Go to the issue